COMPREHENSIVE EPILEPSY PROGRAM: Bangkok Medical Center (BMC)
The Comprehensive Epilepsy Program (CEP) is an integrated working group of multi-departments (Neurology and Neurosurgery) and share facilities for the best quality treatments in epilepsy including evaluation and diagnosis, medical and surgical interventions, and support for adult and pediatric patients suffering from epilepsy and seizures. The CEP, Bangkok hospital has been established since 2000 by Dr. Yotin Chinvarun.
The program has at its disposal the newest techniques for the evaluation and treatment of epilepsy including; comprehensive neurophysiological evaluation (e.g., scalp EEG, 24-hour video/EEG monitoring, subdural grid and depth electrode recording, electrocorticography, and quantitative EEG), comprehensive neuroimaging (e.g., MRI using 3T with epilepsy protocol, interictal and ictal SPECT and PET), neuropsychological testing, Wada testing and cortical stimulation.
The new technique using EEG- fMRI imaging will be implemented this year. This simultaneous EEG-fMRI will provide the opportunity to investigate spatiotemporal mechanisms of generation of epileptiform activity in the brain.
The ICU EEG monitoring is also been routinely performed in patients with status epilepticus particularly in patients with non-convulsive status epilepticus. Also, the EEG network had been established among the Bangkok hospital network.
Epilepsy surgery had been done in Thailand since the year 1999 by removing the epileptogenic lesion aims to make the patients become seizure free or reducing the number of seizure. The 1st case of Epilepsy surgery had been done at the Bangkok hospital in 2000.
Several epilepsy surgical procedures including the mesial temporal lobe epilepsy, Neocortical temporal lobe epilepsy, Extratemporal lobe epilepsy, Hemispherectomy, corpus callosotomy and vagal nerve stimulation were done. Other epilepsy treatments such as ketogenic diet and Gamma knife had also been done in selected cases with intractable seizure.